Terms in this set (187)

-humidified O2
-resp. assessment: observe the chest wall for symmetry of movement with a hand placed lightly over the xiphoid process.

-proper positioning of the patient to facilitate respirations and protect the airway is essential

-position the unconscious pt. in a lateral "recovery" position to keep the airway open and reduce the risk of aspiration if vomiting occurs

-once conscious the patient is usually returned to supine position with the head of the bed elevated. This position maximizes expansion of the thorax by decreasing the pressure of the abdominal contents on the diaphragm.

-oxygen therapy will be used if the pt. has had general anesthesia and/or if ordered. Given via NC or face mask

-deep breathing- encouraged to aid gas exchange and to promote the return to consciousness. once the pt. is more awake, deep-breathing and coughing techniques help prevent alveolar collapse and move respiratory secretions to larger airway passages for expectoration.

-Unless contraindicated, encourage the pt. to breathe deeply and cough 10 times every hour while awake.

-incentive spirometer helps provide visual feedback of respiratory effort.

-Diaphragmatic or abdominal breathing involves inhaling slowly and deeply through the nose, holding the breath for a few seconds, and then exhaling slowly and completely through the mouth. The pt's hands should be placed lightly over the ribs and upper abdomen so the pt. can feel abdomen rise during inspiration and fall during expiration.

-Splinting- an abdominal incision with a pillow or a rolled blanket provides support to the incision and aids in coughing and expectoration of secretions.

-change the pt.'s position every 1 to 2 hrs to allow full chest expansion and to increase perfusion of both lungs.

-Sitting in a chair and ambulating should be aggressively carried out as soon as physician approval is given.